Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $46.67 / $60.67	Professional		$43.75	$46.67	$60.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $17.39 / $45.75	Professional	26	$16.30	$17.39	$45.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.44 / $29.27 / $39.54	Professional	TC	$27.44	$29.27	$39.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $10.36 / $41.00	Professional	26	$10.10	$10.36	$41.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $91.83 / $137.09	Professional		$54.54	$91.83	$137.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $35.13 / $44.38	Professional	26	$19.35	$35.13	$44.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $55.80 / $96.71	Professional	TC	$31.83	$55.80	$96.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $33.99 / $127.80	Facility		$31.82	$33.99	$127.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.00 / $13.89 / $47.15	Facility	26	$13.00	$13.89	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $43.51 / $120.47	Professional		$29.17	$43.51	$120.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $18.23 / $45.31	Professional	26	$10.40	$18.23	$45.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $24.54 / $68.08	Professional	TC	$17.73	$24.54	$68.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $317.91 / $373.45	Facility		$142.34	$317.91	$373.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.35 / $113.52 / $113.52	Facility	26	$51.35	$113.52	$113.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.64 / $407.64 / $585.60	Professional		$407.64	$407.64	$585.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $244.00 / $244.00 / $244.00	Professional	26	$244.00	$244.00	$244.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $268.50 / $268.50 / $411.38	Professional	TC	$268.50	$268.50	$411.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $60.70 / $124.21	Professional		$34.81	$60.70	$124.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $22.54 / $45.74	Professional	26	$13.53	$22.54	$45.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $39.70 / $88.07	Professional	TC	$21.28	$39.70	$88.07